- Herpes during pregnancy: a danger for the child
Most people do not only have heard of this disease, like herpes, but also "had the honor" to meet him in person. According to statistics, more than 90% of the world's population are carriers of the herpes virus. "Fever" or "cold" on the lips deliver a lot of inconvenience. Especially frustrating when worsening of disease or infection by the herpes virus occurs during pregnancy. Today we know the eight herpes viruses, but most often occurs during pregnancy herpes persons (mainly lips) and genital herpes. Genital herpes during the childbearing poses a risk of pregnancy and fetal development.
Herpes during pregnancy
Herpes infection - a viral disease that is characterized by a rash on the mucous membranes and skin. Herpes refers to a latent or "dormant" infection and get rid of it completely impossible. Treatment of acute herpes infection only relieves symptoms and eases discomfort. The man who once in his life had been ill with the disease, for life is its carrier. Exacerbation of herpes infections occur in a weakened immune system. Therefore, quite often there are acute infection or herpes infection during pregnancy because of hormonal changes due to the immunity of women in this period is reduced.
Harmful effects on the herpes virus during pregnancy depends on its duration. Thus, the worsening of the disease or the occurrence of primary genital herpes in early pregnancy can cause miscarriage or lead to missed abortion
Missed abortion - do not lose faith in yourself
(developing pregnancy). If miscarriage does not happen, then later in the child formed malformations: central nervous system, visual and hearing impairment, mental retardation. In the last weeks of pregnancy exacerbation of genital herpes can cause stillbirth, and neonatal infection of the fetus during labor. Herpes infection in newborns occurs much more difficult than in adults due to the lack of immunity. It is noted that about 60% of infected children die in the first days after birth. That is why the aggravation of the disease in the last days of pregnancy, delivery was performed by caesarean section to reduce the risk of infection of the fetus.
Primary genital herpes during pregnancy
The causative agent of genital herpes in pregnant women is a herpes simplex virus
Herpes simplex - in fact, not so simple
second type (HSV 2). Infection of pregnant possible during sexual intercourse and by contact.
As noted above, genital herpes is particularly dangerous for expectant mothers. The risk of infection of the fetus and newborn is 50-60% in the primary herpes and 5-7% in recurrent. The incubation period of genital herpes lasts from three to ten days.
The manifestations of primary genital herpes:
Itching and burning of the external genitalia is a harbinger of the disease and appear before the rash on the skin and mucous membranes.
When genital herpes in pregnant women occur abundant watery discharge
Watery discharge: Signs rules and conditions
. Duration of cables is five to seven days.
In places the defeat of the virus appear characteristic blisters - vesicles with clear content. The vesicles are located on the large and small labia, mucous puts cervix. After two or three days the bubbles burst, and in their place are formed ulcers.
- Violation of the general condition
In the primary lesion of herpes infection woman celebrates weakness, muscle pain, headache and high fever (up to 38-39 degrees).
Recurrent genital herpes
Symptoms of recurrent genital herpes expressed less intense and reminiscent erased forms of primary infection. Often exacerbation of genital herpes goes unnoticed. Almost 90% of newborns infected with herpes virus during exacerbation of the disease.
Treatment of herpes in pregnancy
If herpes infection occurred in the first trimester, it is desirable to terminate a pregnancy. In the case of aggravation of recurrent genetic infection up to 12 weeks, a woman must undergo a thorough examination (in particular, repeated ultrasound).
Antiviral drugs are contraindicated in pregnancy, generally administered antiviral ointments and creams, which have a local effect and substantially not absorbed into the bloodstream. System (pills) treatment of herpes during pregnancy is carried out only under strict indications, provided that the risk of possible complications of herpes infection in the fetus is greater than the risk of the harmful effects of antiviral drugs on him.
How to treat herpes in pregnancy
Herpes pregnant treat only when the disease once manifests itself, that is, there are clinical symptoms of herpes and herpes virus found in the genital area of women. Mandatory treatment shall be a primary herpes. If a woman has long suffered herpes during pregnancy, she had no exacerbations, on the genitals are not discovered herpes viruses, the treatment is not carried out.
Systemic treatment is carried out only with primary herpes. For this purpose, the most commonly prescribed proven antiviral drug such as acyclovir, that is well tolerated and no adverse effects on the fetus. Negative effects on the fetus in laboratory animal studies have been identified and more modern antiviral drugs - valacyclovir and famciclovir. But clinical trials of these drugs in pregnant women have not been conducted and therefore do not know exactly how they will act. However, direct contraindications for use of valacyclovir and famciclovir during pregnancy is not present. Antiviral doses and duration of treatment determined by the doctor.
Acyclovir tablets are not contraindicated and breastfeeding, so it is often prescribed in the case where the primary herpes begins after birth. However, acyclovir
Acyclovir - as it is safe?
It may be insufficiently effective when taken orally, and its intravenous administration during lactation is contraindicated. Experience the use of valacyclovir and famciclovir during lactation not.
Therefore, systemic antiviral treatment of primary herpes after birth appointed strictly individually, taking into account the status of women and the extent of the spread of herpes. At the same time the physician decides whether to discontinue breast-feeding or not. At interruption of breast-feeding during treatment woman must constantly express milk so that after the treatment can be restored in full lactation.
In recurrent chronic herpes antiviral drugs are usually prescribed for topical and local application, for example, 5% cream acyclovir (Zovirax). If you start to use the cream in the early stages of the disease, relapse of herpes can be suppressed.
Externally for recurrent herpes also used extracts of herbs - St. John's wort, chamomile, calendula for lotions. Well reduces inflammation and swelling of tissue, promotes healing of erosions lotions from broth oak bark. If topical treatment does not help and the mucous membranes of the genital organs of women continues to be detected herpes virus, two weeks before the birth the woman conducted a systemic treatment - it is the prevention of infection of the child during passage through the birth canal.
Herpes and pregnancy - it is not always a threat to women and children. In most cases, pregnancy with recurrent herpes uncomplicated. But to see this, you should promptly see a doctor prenatal and fulfill all of its purposes.